5 Sep 2016 Dr Imad Hassan · Prevention of Future Deaths report South Wales Central
View report summary
Concerns raised 6 Lack of a bed management pathway View source Lack of an agreed tertiary-services pathway for unconscious STEMI patients requiring PCI View source Insufficient capacity for admission to designated hospitals for PCI View source Lack of capacity for rescue PCI at designated hospitals View source Lack of an agreed pathway to access adult critical care beds outside Wales View source Lack of a formal backup plan for PCI when designated hospitals cannot accept a patient View source See 3 more concerns
No linked response statements No action or position from this recipient is clearly linked to the concerns in this report.
×
AI-generated summary
Dr Imad Hassan · Prevention of Future Deaths report
This summary was generated using AI from the published report. Please read the original report for the complete account.
Report summary
On 17 April 2016, Dr Imad Hassan suffered an out-of-hospital heart attack and cardiac arrest, was resuscitated, and taken to Prince Charles Hospital. He suffered a further cardiac arrest and died at 04:35 on 18 April 2016. The report raised concerns about the lack of a formal backup and transfer pathway for patients requiring PCI when capacity was unavailable at the relevant hospitals, including for unconscious STEMI patients.
Read the report on judiciary.uk
× Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Welsh Health Specialised Services Committee; that does not assign responsibility.
PFD Monitor interpretation Lack of a bed management pathway
Wider context from the report “3) As per the evidence of ████████ given at inquest, an agreed short term pathway needs to be put in place to access adult critical care beds outside Wales and a bed management pathway put in place .
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Welsh Health Specialised Services Committee; that does not assign responsibility.
PFD Monitor interpretation Lack of an agreed tertiary-services pathway for unconscious STEMI patients requiring PCI
Wider context from the report “4) There is currently no agreed pathway for an unconscious STEMI patient requiring PCI in tertiary services as there is currently for conscious patients with STEMI. Although in the case of Dr Hassan transfer to another hospital for a rescue PCI was not clinically indicated, that may not necessarily be the case in the future, particularly in a patient who has had a short period of unconsciousness and a PCI is clinically indicated.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Welsh Health Specialised Services Committee; that does not assign responsibility.
PFD Monitor interpretation Insufficient capacity for admission to designated hospitals for PCI
Wider context from the report “2) In such circumstances, a patient meeting the criteria for PCI is unable to undergo that procedure, increasing the risk of his/her death, until there is such capacity for that patient to be admitted to UHW or Morriston Hospitals for PCI .
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Welsh Health Specialised Services Committee; that does not assign responsibility.
PFD Monitor interpretation Lack of capacity for rescue PCI at designated hospitals
Wider context from the report “5) In similar circumstances as pertained on the evening prior to / the morning of Dr Hassan's death such a patient (as described in 4)) may be deprived the opportunity of undergoing rescue PCI due to lack of capacity at either UHW in Cardiff or Morriston in Swansea .
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Welsh Health Specialised Services Committee; that does not assign responsibility.
PFD Monitor interpretation Lack of an agreed pathway to access adult critical care beds outside Wales
Wider context from the report “3) As per the evidence of ████████ given at inquest, an agreed short term pathway needs to be put in place to access adult critical care beds outside Wales and a bed management pathway put in place.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Welsh Health Specialised Services Committee; that does not assign responsibility.
PFD Monitor interpretation Lack of a formal backup plan for PCI when designated hospitals cannot accept a patient
Wider context from the report “1) In the event that a patient at Prince Charles Hospital is deemed suitable for PCI there is currently no formal back up plan in place , to enable the PCI to proceed, should UHW in Cardiff or Morriston Hospital in Swansea be unable to accept that patient.
” Open source report
Pin
Request correction
Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations